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# DLA Official Forms

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| Form Number:  DLA1622                                        |
|--------------------------------------------------------------|
| Form Title:  Rights Warning Procedure and Waiver Certificate |
| Form Version:  Aug 2011                                      |
| Status:  Active                                              |
| Functional Area:  Installation Management                    |
| Opr:  DM                                                     |
| Safeguards:  PAS, FOUO                                       |
| Electronic:  Yes                                             |
| Form Link:  Documents/FormsSite/forms/DL1622.pdf             |
| Type:  Primary                                               |
| Prescribed:  coming soon                                     |
| Description:  coming soon                                    |
| Records Retention:  coming soon                              |
| Form Audience:                                               |

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